Publications by authors named "Shigemasa Takamizawa"

Background: Claudin-18 isoform 2 (CLDN18.2) is expressed in multiple cancers and is a promising target for antitumor therapy. However, there is limited knowledge regarding the prevalence and characteristics of CLDN18.

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Introduction: Malignant wounds are lesions caused by metastasis from distant primary cancers or by direct invasion of the cutaneous structures of a primary cancer, and are most common in patients with breast or head and neck cancers. Malignant wounds not only cause physical symptoms, but also affect survival. Recognizing prognosis in terminal-stage cancer patients is necessary for both patients and health care providers.

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  • Folate receptor α (FRα) is a promising target for treating cervical cancer, with high FRα expression found in 72.4% of studied patients, particularly in non-squamous cell carcinomas (non-SCC).
  • The study analyzed samples from 123 cervical cancer patients, assessing FRα and PD-L1 expression, finding a weak correlation between FRα and PD-L1 levels along with CD8-positive cell counts.
  • High FRα expression was linked to worse patient outcomes, especially in those with low PD-L1 expression (CPS <10), suggesting that targeting FRα could be an effective treatment strategy for patients with cervical cancer who exhibit low PD-L1 levels.
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Objective: Trophoblast Cell Surface Antigen 2 (Trop-2) is a transmembrane glycoprotein that is overexpressed in various cancers, with immunological significance as a target for tumor-reactive T-cells. We aimed to investigate the association between the expression of Trop-2 and the tumor immune microenvironment in cervical cancer.

Methods: The study included 123 patients with cervical cancer who underwent primary surgery between 2000 and 2020 in our hospital.

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Established treatment options for rare cancers are limited by the small number of patients. The current comprehensive genomic profiling (CGP) testing might not fully exploit opportunities for precision oncology in patients with rare cancers. Therefore, we aimed to explore the factors associated with CGP testing utility in rare cancers and identify barriers to implementing precision oncology.

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Objectives: Patients with malignant wounds suffer from physical and psychological symptom burden. Despite psychological support being required, the impact of malignant wounds on patients' psychological distress is poorly investigated. We evaluated psychological distress associated with malignant wounds for patients at their end of life.

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Ocular toxicities arising from anti-cancer drugs occur sporadically and are sometimes underestimated because they are not life-threatening. Reports focusing on ocular toxicities from cancer therapy are limited. We investigated the detailed progress of ocular toxicities of anti-cancer drugs including first-in-class ones.

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  • Mesothelin (MSLN) is a protein found in many types of tumors, including cervical cancer, and researchers wanted to see how it relates to cancer survival.
  • The study looked at 123 patients who had cervical cancer and found that 98.4% of their tumors expressed MSLN, with high levels more common in non-squamous cell carcinoma (non-SCC) types.
  • Patients with high MSLN levels had a shorter survival time compared to those with low levels, suggesting that MSLN could be important for understanding and treating cervical cancer.
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Objective: Folate receptor α (FRα) is a membrane protein expressed in various solid tumors but has limited expression in normal cells. Therefore, FRα is an attractive target for cancer treatment. This study aimed to investigate the relationship between FRα expression and the clinicopathological characteristics and survivals of cervical cancer.

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  • Routine measurement of tumor markers isn't typically recommended for patients with cancer of unknown primary (CUP), but this study aimed to assess their diagnostic usefulness in grouping patients into favorable or unfavorable categories.
  • A review of medical records from patients diagnosed with CUP revealed that among the 199 patients analyzed, 90 were confirmed as having CUP, with only 12 classified in the favorable subset.
  • Notably, while no tumor markers achieved 100% sensitivity for unfavorable subsets, ST439 and STN exhibited 100% specificity for identifying these unfavorable cases, suggesting tailored treatment strategies for those with elevated levels.
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Background: Eribulin or capecitabine monotherapy is the next cytotoxic chemotherapy option for patients with metastatic or recurrent breast cancer who have previously received an anthracycline or a taxane. However, it is unclear what factors can guide the selection of eribulin or capecitabine in this setting, and prognostic factors are needed to guide appropriate treatment selection. The neutrophil-to-lymphocyte ratio (NLR) is a prognostic factor for eribulin-treated patients, although it is unclear whether it is a prognostic factor for capecitabine-treated patients.

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  • A study investigated the effectiveness of osimertinib as a first-line treatment for patients with poor performance status (PS 2-4) from 2018 to 2020.
  • Among 36 patients with PS 2, treatment led to a median progression-free survival (PFS) of 14.5 months and median overall survival (OS) of 18.1 months.
  • In contrast, 20 patients with PS 3-4 showed significantly reduced outcomes, with a median PFS of just 3 months and median OS of 5 months, indicating osimertinib's efficacy is lower compared to other EGFR-tyrosine kinase inhibitors.
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Background/purpose: Pancreatic and biliary tract cancers are one of the Lynch syndrome-associated malignancies. There are few reports describing the patients' backgrounds and clinical characteristics.

Methods: We retrospectively reviewed the medical records of patients with Lynch syndrome-associated pancreatic or biliary tract malignant tumors at National Cancer Center Hospital between March 1992 and October 2019.

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BACKGROUND Osimertinib is an oral third-generation epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitor (TKI) approved as first-line therapy for advanced non-small cell lung cancer (NSCLC) with positive EGFR mutation. Rashes, nail toxicity, and diarrhea are common adverse events. Hematological adverse effects, including anemia, thrombocytopenia, and lymphocytopenia, have been reported.

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Severe thrombocytopenia is a rare adverse event of panitumumab. Here, we report the first patient with metastatic colorectal cancer who developed severe thrombocytopenia, diagnosed as panitumumab-associated drug-induced immune thrombocytopenia (DITP). A clinical diagnosis of DITP can be obtained by excluding other causes of thrombocytopenia and is confirmed by the recovery of thrombocytopenia after the discontinuation of the suspected drug.

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There is an unmet need for improving survival outcomes of locally advanced nasopharyngeal carcinoma, for example, T4/ N3 stage disease. To this end, we administered induction chemotherapy (IC) with TPF (docetaxel, cisplatin, and fluorouracil) because this stage of disease is associated with a high risk of recurrence and is difficult to control with standard treatments, such as chemoradiotherapy (CRT) alone or CRT followed by adjuvant chemotherapy. The aim of this retrospective single-center study was to clarify the short-term outcomes of locally far-advanced nasopharyngeal carcinoma patients treated with IC-TPF, followed by CRT with cisplatin.

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The hepatitis C virus (HCV) causes acute hepatitis C and is commonly detected via HCV antibody testing. However, delayed seroconversion of HCV antibodies and non-specific symptoms may hinder the diagnosis of this disease. A 71-year-old woman developed acute hepatitis while hospitalised for back pain.

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